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Is this therapy covered by my insurance, and what will I have to pay?

Is this therapy covered by my insurance, and what will I have to pay?

ABA therapy is covered in all 50 states due to widespread insurance mandates for autism treatment. However, the details of your coverage depend on your specific insurance plan. Families may face deductibles, copays, annual caps, or requirements for prior authorization.

Because ABA can be intensive and costly without financial support, reviewing your insurance benefits before beginning services is essential. Some plans cover most of the cost, while others require significant out-of-pocket payments. Understanding your policy helps you anticipate expenses and avoid unexpected charges.

Intensive ABA (25 or more hours per week) can cost over $200,000 annually without insurance, making coverage a critical factor for most families.

Examples

  • A plan may cover ABA but require meeting a deductible before therapy begins.
  • A family may need pre-authorization to start services or maintain ongoing approval.

When to Seek Support

Seek support from your insurance provider or the ABA agency’s billing team if you are unsure about coverage details, pre-authorization requirements, or estimated out-of-pocket costs.

Find the Clarity You Need to Begin

If you're still gathering information, feel free to explore our general overview on our website. When you're ready to take the next step or want tailored guidance, our team is available—just reach out.

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